HomeMy WebLinkAbout03-2506
,----~-
,
I
I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2506
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
2506 Issued: 11/13/2003 .
GENERAL BUILDING PERMIT
ELECTRIC SERVICE/NEW
NOT APPLICABLE
Est. Value: ,
Total Fees: 35.001
35.00 Date Paid: 11/13/2003
Address: 38710 LANSING AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name:
Addr:
Phone: _m. _ ___L.ic: ___ _m___. H__ .. __1._ .m_Pj1on~:_
Work Desc:-SCRE-ENING IN EXISTING AND 1 RECEPTACLE
Name: JUNE BENNETT
Address: 38710 LANSING AVE
ZEPHYRHILLS, FL. 33542
· . {A~/o~
~- p!~ I. fJ lj
IP ~ f
R UH 1T
PRE-SLAB . CONSTRUCTION POLE__ 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL . PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY MISC. , MISC. FIRE DEPT. FINAL
------------- --"-------- - ----------------- ---------- -------------- ---------- ________ __________ 1 __________ _____________ _______ ___________ ___________ ______________ ________________ _______ _____
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
TIle paYment of inspec.:tionf~esshall be made before any further permits will be issued tothe person owningsame
"Warning to owner: Your failure to record a notice of commencement-may resulFin your paYing twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
,,~for~!ecordin9.'l()ur ..Il~tic:~ of comm~,!c:ement. ,,_
NO OCCUPANCY BEFORE C.O.
-- --- ---~
l'~c~----- PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 ,/ /
813-780-0020 FAX: 813-780-0021 ///?6/ C .3
DATE RECEIVED
PLANS REVIEW FEE
PHONE '%/3 - 7fJ"3 - 2-3a 9
SUBDI VI S ION
( QB.'ffiLtLE:.RDM PRO PEJITY TAX NOT ICE)
WORK PROPSEIJ: 0 NEW CONSTRUCTION
~DDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERC IAL
DMULTI-Fm1ILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~10BILE HOME
o OTHER
DESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMEtJT APPROVAL _""
SC!/~E-E-/JiNr;;.. IN /JIGE-A (~X/STIN~j- }(l&f7Lc.Lh.
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
0 BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHANICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAt1E
o STEEL
o OTHER
;1'h"~lLflFuN Or
~ II\..Y:- f\~ (y~L"1
{rJlnt /1-LL ~l\~
ZONE AREA 0 YES 0 NO
2~"""" '1.- ~~ril1:::-,'"<..y.>rl-
tL . """ \-Z."
o GAS
o ROOFING
o SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD
BUILDER
SIGNATURE ~ 'fg~
o
*********************+********************************************
COMPANY (?/~~
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN JI2
SIGNATURE f)u-IA.1'./ '1Ve1{f/ ~ -
***********************************************~********~*********
CO~1PANY t7&U/~
STATE CERT OR REGlST #
CITY PROCESSING #
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***************************************************************k*
OTHER
cm1t'ANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********.******************************************************
A. NOTIC~ OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" wllich
may be mor8 restrictive than City regulations. The undersigned assumes responsibility for
compliance "lith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND. CONTRACTOR RESPONSIBI LITIF~S
I f the owner has hired a contractor or contractors to undertake "ark, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
vialaLi.on under state la\-'I. If the m,ner or intended contractor are uncertain as to what
licensinq requirements may apply for the intended '-'lork, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
cOlltractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
YOII, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication tllat he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
c. TRANSPORTATION H1PACT n:ES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with '3 copy of "Florida's Construction
lien Law Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and ConS'JIner Affairs. If the applicant is someone other that the "m,ner", I cerify that I
havA obtairled a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to cOMnencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
1 cArtify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Applicatioll is hereby made to obtain a permit to do work and installation as indicated. I
certify that no \--Iork or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codAS, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Sout.hwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in tile State of Florida prior to permit
issuance.
A permit issued shall be construed to be a licensA to proceed with the work and not as
al1thority to violate, cancel, alter, or set aside any provisions of the technical codes,
llor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall hecome invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Refore me this _ day of
by
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
o wllo is personally known to me, or
(name of person acknowledged)
Ovho is personally known to me, or
o who has produced
(type
and wlioD cUd 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid O:iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
r
'.'n'l.! !\ III!
1 'i~'
1
-
-
"
~.
~
"
~
~
)(
~
~
~
~
>t
\f\
'"
~
t<-
r i ~I~~X
)\J \kJ ,\F
~LJ\T
~ I I
"-i
,
c-..
~
~
'\\
"")'
~
~
-,
~
\>
i
I
'.k.
~
- .1'\ "\
~ ',.,;'"', \J
....
8" 6 "
,~~
\, ~ ~
vJ ~ "'
~ ~ ~
x.~~
~~~
~~~
(\ ~ ::1
') , ..;j
~ .
~\J)~
~ (\ ~
")
~ (\ ~
~ ~ 10
') ~ ~
~
;,
~
l(
~
,
~
~
~
~
\J'.,
\:l
~
~
~
~
- 3~. ,/0
4
- J-/~, b~
"
L 84?5 Cpr" e.,. ~ ~"n'cf~u's - ~3. OP
.I
/ ~6 I, X e--()~ Sere." i1pp,.... - 9''1. dO
.v
~ 6 ' W J. ; fe. z,.lf '" U/ ,.de lI{"v~ - I / A · tl 0
L(/ , I 12 I'
t7 Wh iie (!.iIl~ T~" /!{,W-"l e+e. - I~, '?S
4 I C ".arC-4. (, S c r e~" ~ ~(). tn:J
i
It) . (;H
I" )( z., 1/
2-" X 2- "
Go I
J,()tJ f
JPO
50
W"1ire /llvWl
C"tJ/
/~() /
I'
"
~
I"~ ~
~ z.. " If
It
Se{ft;." - If; I>
..;
2. .00
S e.. ". e."., S'
I,
CJ i .; '2, _......1
~cJ ~.I> ;II (.,IV
56:2, 90
TAr ~~, ??
Ye//t/e,r-d p 5""t:tb. 67-"
10: ~ ~. 60.0-0
~ S-3~. 6?
~~
c~"s
~
/.
3J
I 1/ X :z. I'
J.- h X 2- II
w h ,. Ie... /l- t VI?? - {;; 0 .-
II II - /g"O /
J... ~ C.o y 11 e.,- cC/J'1/16'd
/ 3b I, K g--o 'I S'e-ree" ~'-?tJ;. (IP./I)
!J-b I wU J--<.f I, ~.-je.. I'fLI/1?7
60 I ~ ca.? I-tJr' II Lvl'Yl
&0 I
;?-tJ 0 (
~ 'f' C/Ulrc;() a. L
~~
/ " w-f.::t- 9c r e.-..-v ~
5'cT'een
~~
?o-o
Fo
- 3 "" , I,
1/
?- 0 r ~ Ct'/ n 5> ').. Ii I.
~v;o
,
i.f 2 . 0-0
P
- ;!..O"7 0-0
1f
/ ~ t/-o
H '0
- G I . 9'~-
/;'
- I ~ 3. 7-.0
1/
- I 'I, 7 S-
.t{
- q<6.~
II
- 10, {)-O
/I ~. FrS-
_ .f' q.vo
- ~ "? > "V
s- ~b , .2.S-
33. 38 r~
~'l: ~